Cross-sectoral collaboration of mental health problems in children and adolescents.

Introduction: A growing number of children and adolescents (CA) suffer from mental health problems. To provide the necessary investigation and care, collaboration between general practitioners (GPs) and the municipality is essential, but often challenging. This study aimed to identify factors influencing intersectoral collaboration between general practice and municipalities when treating CA with mental health problems and to propose improvements to this collaboration.

Methods: We conducted interviews with seven GPs and three municipal employees (MEs). The data were analysed with inspiration from thematic analysis. The results were framed within Gittell's theory of relational coordination.

Results: GPs and MEs expressed frustration and challenges encountered when working with CA due to inefficient intersectoral collaboration. Many GPs expressed a need for better communication with municipal authorities or child psychiatry departments. MEs also experienced challenges related to this collaboration. Successful collaboration appeared when dedicated individuals from both sectors actively worked for improvements. Key factors identified for enhancing collaboration included personal knowledge, regular contact, awareness of activities in the other sector and improved communication channels.

Conclusions: We propose enhanced cross-sectoral communication, routine information exchange and further development of digital tools to improve collaboration. Formalising collaboration through specific agreements is also recommended.

Funding: "PLU-fonden" and "Sara Krabbes Legat" TRIAL REGISTRATION. Not relevant.